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U-M Premier Care Primary (Major) Diagnosis Codes for TherapiesICD-10 2.0C32.1C32.2C32.9DescriptionLip, unspecified vermillion borderMalignant neoplasm of lip, unspecifiedMalignant neoplasm tongueMalignant neoplasm tip and lateral border of tongueMalignant neoplasm anterior two-thirds of tongue, part unspecifiedMalignant neoplasm of major salivary glandsMalignant neoplasm submandibular glandMalignant neoplasm floor of mouth, part unspecifiedMalignant neoplasm hard palateMalignant neoplasm soft palateMalignant neoplasm plate, unspecifiedMalignant neoplasm of overlapping sites of palateMalignant neoplasm retromolar areaMalignant neoplasm mouth, unspecifiedMalignant neoplasm of oropharynxMalignant neoplasm of overlapping sites of tonsilMalignant neoplasm tonsillar fossaMalignant neoplasm nasopharynx, unspecifiedMalignant neoplasm of hypopharynxMalignant neoplasm pyriform sinusMalignant neoplasm hypopharynx, unspecifiedMalignant neoplasm of other and ill-defined sites within the lip, oral cavity and pharynxMalignant neoplasm of waldeyer's ringMalignant neuroplasm of overlapping sites of lip, oral cavity and pharynxMalignant neoplasm esophagus, unspecifiedMalignant neoplasm of nasal cavities, middle ear and accessory sinusesMalignant neoplasm maxillary sinusMalignant neoplasm ethmoidal sinusMalignant neoplasm frontal sinusMalignant neoplasm sphenoidal sinusMalignant neoplasm of LarynxMalignant neoplasm supraglottisMalignant neoplasm subglottisMalignant neoplasm larynx, unspecifiedPage 1 of 561/27/2021

U-M Premier Care Primary (Major) Diagnosis Codes for TherapiesICD-10 iptionMalignant neoplasm of trachea, bronchus and lungMalignant neoplasm of unspecified main bronchusMalignant neoplasm of right main bronchusMalignant neuroplasm of left main bronchusMalignant neoplasm of upper lobe, unspecified main bronchus or lungMalignant neoplasm of upper lobe, right bronchus or lungMalignant neoplasm of upper lobe, left bronchus or lungMalignant neoplasm of middle lobe, bronchus or lungMalignant neoplasm of lower lobe, right bronchus or lungMalignant neoplasm of lower lobe, left bronchus or lungMalignant neoplasm of lower lobe, unspecified bronchus or lungMalignant neoplasm of overlapping sites of unspecified bronchus and lungMalignant neoplasm of overlapping sites of left bronchus and lungMalignant neoplasm of unspecified part of unspecified bronchus of lungMalignant neoplasm of unspecified part of right bronchus or lungMalignant neoplasm of unspecified part of left bronchus or lungMalignant neoplasm of bone and articular cartilageMalignant neoplasm mandibleMalignant neoplasm of skin or unspecified ear and external auricular canalMalignant neoplasm skin of other and unspecified parts of faceMalignant neoplasm of skin of right ear and external auricular canalMalignant neoplasm of skin of left ear and external aricular canalMalignant neoplasm eye, part unspecifiedMalignant neoplasm of unspecified site of right eyeMalignant neoplasm of unspecified site or left eyeMalignant neoplasm of the brainMalignant neoplasm of thyroid glandMalignant neoplasm of other and ill-defined sites within the lip, oral cavity and pharynxMalignant neoplasm of thoraxMalignant neoplasm of abdomenMalignant neoplasm of pelvisMalignant neoplasm of unspecified upper limbMalignant neoplasm of right upper limbMalignant neoplasm of left upper limbPage 2 of 561/27/2021

U-M Premier Care Primary (Major) Diagnosis Codes for TherapiesICD-10 tionMalignant neoplasm of unspecified lower limbMalignant neoplasm of right lower limbMalignant neoplasm of left lower limbMalignant neoplasm of other specified ill-defined sitesMesothelioma of other sitesSecondary and unspecified malignant neoplasm of lymph nodesSecondary and unsp malignant neoplasm of intrathorac nodesSecondary and unsp malignant neoplasm of intra-abd nodesSec and unsp malig neoplasm of axilla and upper limb nodesSec and unsp malig neoplasm of inguinal and lower limb nodesSecondary and unsp malignant neoplasm of intrapelv nodesSec and unsp malig neoplasm of nodes of multiple regionsSecondary and unsp malignant neoplasm of lymph node, unspParkinson's diseaseVascular parkinsonismFlaccid hemiplegia affecting unspecified sideFlaccid hemiplegia affecting right dominant sideFlaccid hemiplegia affecting left dominant sideFlaccid hemiplegia affecting right nondominant sideFlaccid hemiplegia affecting left nondominant sideSpastic hemiplegia affecting unspecified sideSpastic hemiplegia affecting right dominant sideSpastic hemiplegia affecting left dominant sideSpastic hemiplegia affecting right nondominant sideSpastic hemiplegia affecting left nondominant sideHemiplegia unspecified affecting unspecified sideHemiplegia unspecified affecting right dominant sideHemiplegia, unspecified affecting left dominant sideHemiplegia, unspecified affecting right nondominant sideHemiplegia, unspecified affecting left nondominant sideHemiplegia unspecified affecting unspecified sideHemiplegia unspecified affecting right dominant sideHemiplegia unspecified affecting left dominant sideHemiplegia, unspecified affecting right nondominant sidePage 3 of 561/27/2021

U-M Premier Care Primary (Major) Diagnosis Codes for TherapiesICD-10 scriptionHemiplegia, unspecified affecting left nondominant sideParaplegiaTropical spastic paraplegiaParaplegia, completeParaplegia, incompleteAnoxic brain damage, not elsewhere classifiedEncephalopathy, otherEncephalopathy-anoxicNerve root and plexus disordersMononeuritis of upper limb and monoeuritis multiplex lesion of radial nerveLesion of radial nerve, right upper limbLesion of radial nerve, left upper limbLesion of radial nerve, bilateral upper limbGuillain-Bare syndromeChronic inflammatory demyelinating polyneuritisSensorineural hearing loss, bilateralNtrm subarach hemorrhage from unsp carotid siphon and bifurcNtrm subarach hemor from right carotid siphon and bifurcNtrm subarach hemorrhage from left carotid siphon and bifurcNtrm subarach hemorrhage from unsp middle cerebral arteryNtrm subarach hemorrhage from right middle cerebral arteryNtrm subarach hemorrhage from left middle cerebral arteryNtrm subarach hemor from unsp posterior communicating arteryNtrm subarach hemor from right post communicating arteryNtrm subarach hemor from left posterior communicating arteryNontraumatic subarachnoid hemorrhage from basilar arteryNontraumatic subarachnoid hemorrhage from unsp verteb artNontraumatic subarachnoid hemorrhage from r verteb artNontraumatic subarachnoid hemorrhage from l verteb artNontraumatic subarachnoid hemorrhage from oth intracran artNontraumatic subarachnoid hemorrhage from unsp intracran artOther nontraumatic subarachnoid hemorrhagePage 4 of 561/27/2021

U-M Premier Care Primary (Major) Diagnosis Codes for TherapiesICD-10 iptionNontraumatic subarachnoid hemorrhage, unspecifiedNontraumatic intracerebral hemorrhage in hemisphere corticalNontraumatic intracerebral hemorrhage in hemisphere subcorticalNontraumatic intracerebral hemorrhage in hemisphere unspecifiedNontraumatic intracerebral hemorrhage in brain stemNontraumatic intracerebral hemorrhage in cerebellumNontraumatic intracerebral hemorrhage inventraventricularNontraumatic intracerebral hemorrhage, multiple localizedOther nontraumatic intracerebral hemorrhageNontraumatic intracerebral hemorrhage, unspecifiedCereb infrc d/t unsp occls or stenos of unsp cereb artCereb infrc d/t unsp occls or stenos of right mid cereb artCereb infrc d/t unsp occls or stenos of left mid cereb artCereb infrc d/t unsp occls or stenos of unsp mid cereb artCereb infrc d/t unsp occls or stenos of right ant cereb artCereb infrc d/t unsp occls or stenos of left ant cereb artCereb infrc d/t unsp occls or stenos of unsp ant cereb artCereb infrc d/t unsp occls or stenos of right post cereb artCereb infrc d/t unsp occls or stenos of left post cereb artCereb infrc d/t unsp occls or stenos of unsp post cereb artCereb infrc due to unsp occls or stenos of right cereblr artCereb infrc due to unsp occls or stenos of left cereblr artCereb infrc due to unsp occls or stenos of unsp cereblr artCereb infrc due to unsp occls or stenosis of cerebral arteryOther cerebral infarctionCerebral infarction, unspecifiedPost mastectomy lymphedema syndromeOther LymphedemaLymphangitisOther noninfectious disorders of lymphatic channelsUnspecified noninfectious disorder of lymphatic channelsOther specified diseases of the jawsCheek and lip bitingPage 5 of 561/27/2021

U-M Premier Care Primary (Major) Diagnosis Codes for TherapiesICD-10 oma and granuloma-like lesions of oral mucosaIrritative hyperplasia of oral mucosaUnspecified lesions of oral mucosaOther lesions of oral mucosaRheumatoid myopathy with rheumatoid arthritis of unsp siteRheumatoid myopathy w rheumatoid arthritis of right shoulderRheumatoid myopathy w rheumatoid arthritis of left shoulderRheumatoid myopathy w rheumatoid arthritis of unsp shoulderRheumatoid myopathy with rheumatoid arthritis of right elbowRheumatoid myopathy with rheumatoid arthritis of left elbowRheumatoid myopathy with rheumatoid arthritis of unsp elbowRheumatoid myopathy with rheumatoid arthritis of right wristRheumatoid myopathy with rheumatoid arthritis of left wristRheumatoid myopathy with rheumatoid arthritis of unsp wristRheumatoid myopathy with rheumatoid arthritis of right handRheumatoid myopathy with rheumatoid arthritis of left handRheumatoid myopathy with rheumatoid arthritis of unsp handRheumatoid myopathy with rheumatoid arthritis of right hipRheumatoid myopathy with rheumatoid arthritis of left hipRheumatoid myopathy with rheumatoid arthritis of unsp hipRheumatoid myopathy with rheumatoid arthritis of right kneeRheumatoid myopathy with rheumatoid arthritis of left kneeRheumatoid myopathy with rheumatoid arthritis of unsp kneeRheumatoid myopathy w rheumatoid arthritis of right ank/ftRheumatoid myopathy w rheumatoid arthritis of left ank/ftRheumatoid myopathy w rheumatoid arthritis of unsp ank/ftRheumatoid myopathy w rheumatoid arthritis of multiple sitesRheumatoid polyneurop w rheumatoid arthritis of unsp siteRheumatoid polyneurop w rheumatoid arthritis of r shoulderRheumatoid polyneurop w rheumatoid arthritis of l shoulderRheu polyneurop w rheumatoid arthritis of unsp shoulderRheumatoid polyneurop w rheumatoid arthritis of right elbowRheumatoid polyneurop w rheumatoid arthritis of left elbowRheumatoid polyneurop w rheumatoid arthritis of unsp elbowPage 6 of 561/27/2021